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Study to Evaluate the Efficacy and Safety of Tacrolimus in Kidney Transplant Recipients (BLOSSOM)

Phase 4
Conditions
Kidney Transplant
Interventions
Drug: Tacrolimus cap.
Drug: TacroBell SR cap.
Registration Number
NCT04224350
Lead Sponsor
Chong Kun Dang Pharmaceutical
Brief Summary

The purpose of this study is to evaluate the efficacy and Safety after conversion to TacroBell SR cap. or TacroBell cap. in patients who in renal transplant patients undergoing maintenance therapy with Reference Tacrolimus.

Detailed Description

This study is a multi-center, Randomized, Open-label and phase IV clinical trial that evaluates the efficacy and safety after conversion to TacroBell SR cap. or TacroBell cap. administration for 24 weeks in renal transplant patients undergoing maintenance therapy with Reference Tacrolimus.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
184
Inclusion Criteria
  • Over 20 years old(male or female)
  • Patients with eGFR (By CKD-EPI) ≥30mL/min/1.73m^2 and spot urine P/C ratio≤0.5 at screening test
  • Patients who are taking Tacrolimus twice a day for maintenance therapy and have Trough level of 3~10ng/ml
  • Agreement with written informed consent
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Exclusion Criteria
  • Patients who have transplanted organs other than kidney
  • Patients with acute rejection who have been clinically treated within the last month
  • Patients who have changed their administration of adjuvant immunosuppressants and corticosteroids within the last month (dose change, discontinuation, etc.)
  • Patients who have been diagnosed with cancer within the last 5 years (except skin cancer or thyroid cancer determined by the investigator that treatment has been completed)
  • Patients deemed inappropriate for screening due to severe digestive disorders at screening
  • Patients with severe systemic infections requiring treatment (transplantation may be possible after the infection is completely lost or controlled)
  • Patients with genetic problems of galactose-intolerance, Lapp lactose deficiency or glucose-galactose malabsorption
  • If the following cases occur during screening
  • Treatment of active liver disease or increased one or more of the liver function tests (T-bilirubin, AST, ALT) levels more than three times the upper limit of normal range
  • Patients with WBC <2,500/mm^3, PLT <75,000/mm^3, ANC <1,300/μL
  • Patients who have experienced hypersensitivity reactions or serious abnormalities with medicines used in this clinical trial or with similar chemical structures (Tacrolimus, etc.)
  • Pregnant or lactating women
  • Patients of childbearing potential who do not agree to the proper use of contraception during the trial
  • Patients who received other investigational drugs within 4 weeks prior to consent of the document
  • Patients unable to participate in the clinical trial due to the judgment of other investigators
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Twice a Day TacrolimusTacrolimus cap.Active Comparator arm: TacroBell Cap.
Once-Daily TacrolimusTacroBell SR cap.Experimental arm: TacroBell SR Cap.
Primary Outcome Measures
NameTimeMethod
Incidence of composite efficacy failure (biopsy-confirmed acute rejection; TCMR, graft loss, death, or follow-up failure)until 24 weeks
Secondary Outcome Measures
NameTimeMethod
Survival rate of transplanted organuntil 24 weeks
eGFR(eGFR using CKD-EPI method) valueuntil 24 weeks
Serum-Cr valueuntil 24 weeks
Incidence of biopsy-confirmed acute rejection(TCMR, AMR)until 24 weeks
Pathologic Results, Occurrence, Treatment Methods, and Results of Acute Rejection Confirmed by Biopsyuntil 24 weeks
Survival rate of Patientsuntil 24 weeks

Trial Locations

Locations (1)

The Catholic University of Korea, Seoul, St.Mary's Hospital.

🇰🇷

Seoul, Korea, Republic of

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